{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"John Kennedy","gend":0,"currentgend":"","add":"1237 Foster Rd","city":"Statham","state":"GA","zip":"30666","dob":"1970-10-23","age":"","mstatus":"","insh":"0007390932001","cliId":"","pno":"4704420220","cno":"4704420220","email":"jhkennedy2013@gmail.com","ename":"","eno":"","pphy":"Joe Huong","ppno":"7065711120","pcpadd":"340 EXCHANGE BLVD","pcpcity":"BETHLEHEM","pcpstate":"GA","pcpzip":"30620","pcpcounty":"","pcpid":"","pcpname":"340 EXCHANGE BLVD","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"1237 Foster Rd","madd2":"","madd3":"","mcity":"Statham","mstate":"GA","mzip":"30666","pcpfaxno":"7065711603","pcpnpi":"1548498660","currentgendcomment":"","pphycomment":"","uniqueid":"429855","medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I11.0","I50.9","I48.91","Z76.0","Z86.79","R06.00","I51.7","Z79.01","Z87.891","Z53.29","I50.21","I48.0","I50.33","E66.811","N28.9","Z68.33","F17.290","Z79.899","Z91.148","N17.9","N18.9","E87.70","I13.0","Z66","N18.30","F15.10","F13.10","F11.10","R53.82","Z68.32","Z91.199","R07.9","Z13.6","R06.02","I50.42","I45.10","R07.89","I48.19","R79.89","I10","F19.10"],"date":["2026-08-15","2026-08-16","2026-08-17","2026-02-05","2026-02-05","2026-08-15","2026-07-26","2026-08-15","2026-04-09","2026-04-09","2026-08-13","2026-08-13","2026-08-15","2026-08-15","2026-04-24","2026-04-24","2026-07-26","2026-08-15","2026-08-15","2026-08-15","2026-08-16","2026-07-26","2026-08-15","2026-08-15","2026-08-15","2026-08-15","2026-08-15","2026-08-15","2026-08-15","2026-08-15","2026-08-16","2026-04-08","2026-07-26","2026-04-08","2026-07-26","2026-07-26","2026-04-24","2026-08-16","2026-04-24","2026-04-24","2026-04-24"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","","ELIQUIS","5000 MG","","Select","Select",""],["","","DILTIAZEM HYDROCHLORIDE ER","120000 MG","","Select","Select",""],["","","METOPROLOL SUCCINATE ER","50000 MG","","Select","Select",""],["","","FUROSEMIDE","20000 MG","","Select","Select",""],["","","LOSARTAN POTASSIUM","25000 MG","","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Assessment of Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}